The definition of a concussion continues to evolve as more knowledge is gained. A "concussion" is a brain injury and should be evaluated by a healthcare professional that has been trained in evaluation and treatment. It is a complex process affecting the brain due to direct or indirect forces to the head. The disturbance of brain function occurs from changes in the metabolic/chemical processes of the brain rather than a structural injury such as a “bruise”. Even a “ding”, or “getting your bell rung” can appear mild but can be serious. It is not unusual for symptoms to start 24 - 48 hours after the initial injury. If a student-athlete sustain a concussion, please notify your Coach, School Nurse, and even Athletic Director so we can start the Concussion Protocol as required by VHSL.


  • Headache
  • Nausea
  • Vomiting
  • Abnormality with Balance or Walking
  • Vision Issues (Blurred, Double, or Light Sensitivity
  • Loss of Appetite
  • Persistent Ringing in Ears
  • Light or Noise Sensitivity
  • Feeling Foggy, Off, Slow or out of it
  • Feeling Down
  • Difficulty Concentrating or Following Directions
  • Amnesia
  • Confusion
  • Changes in Personality
  • Mood Swings
  • Emotion not matching situations
  • Sleep Changes (Too Much or Too Little)
  • ​Nervousness 
  • Anxiousness


  • One Pupil is Larger than the Other
  • Athlete is Drowsy or cannot be awakened
  • A Headache that does not Diminish, or worsens
  • Decreased Coordination
  • Repeated Vomiting or Nausea
  • Neck Pain or Tenderness
  • Weakness/Numbness in Arms and/or Legs​
  • ​Seizures or Convulsions

Concussions & traumatic Brain Injury

Seek Healthcare Provider when Suspecting of a Head Injury!!! (This may be a MD, DO, PA, FNP, or ATC in Pittsylvania County, VA)

​​Smitty's Plan for O​rthopedic Rehabilitation & Training